A client who has been under stress for several years tells the nurse that "When a problem comes up,
I just walk away from it because I don't know how to handle it. Then I feel worse because I didn't
do anything.".
The client outcome the nurse should consider is
a. comfort level.
b. decision making.
c. anxiety self-control.
d. acceptance: health status.
ANS: B
The client describes not knowing how to handle decision making and experiencing negative feelings
as a result of an inability to make decisions. Decision making as an outcome is entirely relevant. The
other options do not have the same degree of relevance.
You might also like to view...
Since children with attention deficit hyperactivity disorder (ADHD) take medication for long periods of time, side effects must be considered. How often should children be assessed for side effects of the drug therapy?
a. Every 2 months b. Every 4 months c. Every 6 months d. Every 8 months
In addition to obtaining the client's vital signs, which of the following questions should the nurse use to assess the client's status when the client is receiving temazepam for a sleep disturbance? Select all that apply
A) "Is the client uncomfortable?" B) "Is it too early for the client to receive the drug?" C) "Has a consent form been signed for the procedure?" D) "Does the client receive insulin to treat hyperglycemia?" E) "Are there disturbances in the environment that may keep the client awake?"
A trauma patient in the emergency department (ED) is showing signs of acute renal failure that the care team suspects are due to myoglobinuria. The ED nurse should recognize that these problems are most closely associated with what type of injury?
A) Hemorrhage B) Severe lacerations C) Crush injury D) Blunt force trauma
The nurse is caring for a 6-month-old infant diagnosed with RSV, a viral infection causing copious airway secretions. What consideration will influence the nurse's plan of care most?
a. Infants breathe more rapidly than adults. b. Infants' airways are narrower and more easily obstructed. c. Infants have lower hemoglobin levels reducing oxygenation. d. Infants have larger tonsils and adenoids.